Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $2,884.03 / $4,786.30	Facility		$977.24	$2,884.03	$4,786.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $575.44 / $776.25	Professional		$457.09	$575.44	$776.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $398.11	Professional		$89.13	$89.13	$398.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Facility		$3,311.31	$3,311.31	$3,311.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $5,248.07 / $5,248.07	Professional		$3,467.37	$5,248.07	$5,248.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Facility		$977.24	$977.24	$977.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $1,000.00	Professional		$776.25	$776.25	$1,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $1,174.90	Professional		$295.12	$295.12	$1,174.90